HomeMy WebLinkAbout30141571 - Permit\s
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:30141571
Pin #: 7686{
Project Address: 3110 S Main St Unit:
Block: NA
Bldg:
Tract 7408
AddressRange: 3100-3260
Historic: No
Suite Range:
Zoning: CRAssessor's Parcel: 410-231-02 Lot: 83
Owner:
Address:
Decron
3124 S Main St
Santa Ana, CA 92707
(7'.14)-546-5220
01 1 1 6002 51 602
0't 1 16002 51 60C
01116002 51602
01116002 5777C
Fee Type Amount
Tankless Water Heater 68.14
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1.00
0.00
Fee
$68.1 4
$22.95
$57.20
$0.00
Phone
Tenant Name:
Contractor:
Address:
American Power Solutions I
14355lndustry Cir
La Mirada, CA 90638
(714) 926-0300Phone:
State Lic #: 804648
Lic Type: C-36, C-10, C-20, C-38
Bus. Lic #: 373173
Workers' Compensation lnsurance:Carrier: Benchmark lns Co
Policy #: CST5015362
Expires: 03lO1l2O2O
utll6uLtl
Plulb i ns
Ll1116t[:12
Building Use: Multi-Family (5 or more uni Occupancy:
Job Type: Miscellaneous Constr Type:
Nature of Work: Water Heater Code:
R-2
VB
cPc 2016
Planning Conditions: Ok per Planning
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Allis
Date
Date
Date 11t22t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless fhe work on lhe site
authorized by such permit is commenced within360 days afterits
issuance, or if the work authorized on the site by such permit ls suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01116002 51600
01 1 1 6002 51 602
$22.95
$125.34
Fee Total
Paid to Date:
Balance Due:
$148.29
$0.00
$148.29
lnspector MID#: 2019-156026
Bstch*:531
0f ,' i ce: CT
Accti:
Rcpt*:0281
lon upooEt
516001100-
Notes: Change out within existing enclosure.
I
.IiNG.INSPECTOR RECORD
COMTlENTSAPPROVALSDATE!D/SIG.
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underf loor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitarv Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release
FINAL 2 14 70 Dtkrrl tz uW t7
Notes, Remarks, Etc lr
()IVN1.]R BUII,DI.]R DI.:I,(:ARA'IIoN
I hcrchy rllirill undcr pcnrlly ol pciury lhat I rm cxctrrpl ti1)m thc Conlrrclors' l-iccnsc lrw for lhc li)lk]win8 rcrsol (Scc.70.ll.5
llusincss anl Prolt\{ion Codc): Any Cily or Counly which rcqnirc{ il frrmil to con\truct. altcr. inrprovc. dctrrclish or rcpilir any
slnlcturc.nd()rloils issuarre.rlsorequircslhcrpplicrnlf()rsuchpcrililtolilcasigncdslttcmcnt thtlhcorshcisliccn\cd l)ursutnl
tr lhc l)rovisi()n\ ol lhc Conlrrclor's Liccnscd l-a*' (('hrplcr 9. (i)rnnlcNing \\'ilh Scclion 7(XX) ol Divi\bn J o[ lhc lrusinc\\ iln(l
ll'oltssiotrsCodc)orthrlhcorshciscxcnrplthcrclioillx[dthcbilsisl'orlhc0llcgcdcxcmplion. AnyviolalkrnofScctionT03l.5byany
npplicrnlli)rxpcrnrilsuhjccl\lhc npplicrnlhucivilpcnallyofilililx)rclhatrlitchuntlrcddollars(S5fi)).
-1.
as owrer of lhc pmpcny. or my emplolecs wilh wages as their $le ompcnsation. will do orc so* and the slnrt@ Ls ml
intcndcd or oflbrcd for salc (Ss.7044, Busincss and hofessions Codc: Thc Crntractor's Liccnse Law does not apply to an owncr of
lhc pm[Eny who h.rilds or inqrmvc themn. ard who des sch work himsclf or herslf or thmugh his or hcr own cmployecs.
provided lhat such impmvcmnts @ mt inlcndc{ or offercd for slc. If. howcvfi. lhc buikling or inDrewmnt is mh whhin om }rcr
ofcomphtion. thc Owncr Buill,cr will havc Ihc burden ofprevinS that hc or shc did ml build or improvc thc pmlEty for the pur[Drc of
mlc).
-1.
ds owncr of the propcny. an cxclusivcly conlraclinS s'ith liccilqcd conlraclon lo construcl lhc p(+cl (Scc. 7(11.1. Busirrcss
and PrrfcssionCodc:'l'hcCoillraclor's[-iccnsc[,awdocsnolupplyk)anowncrofpropcrtywhobuil(lsorirtprovcsthcrcon.
nnd uho conlracls for such projccls with a (i)nlmchrls) liccnsed lursu{nt lo lhc G)ntrxchr's Liccnsc bw).
I urr cxcuil urtJcr Scction . B. & P.C. lbr lhis rcason.
Date:_-_ Owner:__._
IY(IRKFILS' COTUPENSATION
IIFCLARATION
I hcreby affirm undcr pcnalty of pcrjury onc of lhc lbllowing dcclarat krns:
-l
hrrc and will nraiDtain { Ccflificalc of Conccnt l(, Sclf'lnsurc for ur)rkcrs'coiltFnsxtiotr. !s prol'tlcd for by Sccthn l70O ol thc
I-iltx,r Codc. li)r thc pcrl-onnilncc of thc work for which thc pcrmit is issucd.
-l
havc ond will maintsin workers' comlrnsation insurarce, as rcquired by Section 3700 of the kbor Codc. for lhe Frfotmne of
lhc work is My workcr-s' compclstrtion insuraflcc canicr and policy numbcr arc:
*14 f ra ncL
Policy {9rror{3 I
-l
cenify lhal in lhc pcrfornuncc of lhc work for which this prmil is issucd. I shall nol employ any Jrcrson in any manrcr
s as t) bccom subjecl to lhe workers' comlrcnsation laws of Californi!. arrd agrcc that if I should bcrorc subj(l to thc
workers'comlrcnsalionprovisionsofSection3T0OofthcljtsrCodc. lshnll.forthwilhsmplywilhlho*provisions..
WARNING: Frailurc to scure workcrs'mmlrcnsation coverngc is unlawful. and shall subjcct an employcr to qiminal JEnsltics snd
civil lincs up to onc hundred thousand dollars ($ion lo lhc cost of comlEnsatt)n. danragcs as providcd for thc
Setion 3076
o
intcrcst and
t l
I hcrchy affirm undcr pcnalty of pcrjury thrt I arn undcr prrvision of Ch{pts 9 (commncing with Scction 7000) of Division .1
of lhc Busincss and Pmfessions Code, and my licens is in lull fore ard effect.
Liccnsc
I hcrchy allirm undcr pcnrlly of pcrjury thul lhcre is a coilslruction lcnding agcncy lirr lhc pcrl(rrilrancc ol thc work li)r which this pcrntit is
i\sucd (Scc. .1(197. Civ. C. ).
kndcr's Ad,lrcss:
APPLICANT DECLARATION
I lrreby allinn undcr pcnalty of pcrjury onc of thc f<rlkrwing clcclarations:
Dcrnolitir)n Pcrmils-Asbcstos N()lillcalion Fcdcral Rcguliti{)ns (Titlc 40, Parl6)
_Rcquirc(l ktlcr r)f Nolilication
_l ccflify that thc fcdcral rcgululions rcgeding astEstos rcmovalurc not {pplicuhlc lo this projcct.
_l cenify thal I havc rcad lhis application and slale thd the ahrvc infomtion is cor(t. I agre lo comply wilh sll Cily and County
ordinanccs and Slate Laws rehting to
atxrvc nrntioilcd propcny k,r
Applicant or Agent
Pemrilee mme
aulhorizc reprcscnlatives ofthis City and lo cnlcr upon lhc
zlzuDole:
l)trte:
Lendcr's Nantc:
+-